Pediatric nurse-patient communication practices at Pentecost Hospital,Madina:A qualitative study

Purpose:Delivering quality health care requires effective communication between health care providers and their patients.Nurse-patient effective communication remains a challenge in Ghana,despite criticism and concern expressed by the public.The study,therefore,aims to assess the effective nurse caregivers’communication practices among pediatric nurses at Pentecost Hospital,Madina.Methods:A qualitative exploratory and purposive sampling technique were used.Participants were engaged in Focus group discussions or face-to-face interviews.In all,4 focus group discussions were conducted with 7 participants in each group and 15 face-face in-depth interviews,with a total sample size of 43.The data was content analyzed.Interviews were taped recorded and transcribed verbatim.Results:The data analysis yielded 3 themes and 11 subthemes.The main themes were:effective communication practices,factors influencing effective communication,and attitudes towards effective communication.The study revealed how the participants communicated with patients who are deafmute,anxious,and those who refused treatment.In addition,participants reported how they used techniques such as silence,listening,and leading cues in communicating with patients and their relatives.Conclusion:Effective communication between pediatric nurses,patients,and their parents is ascertained to be a key tool in the delivery of quality health care.However,several factors are found to hinder this therapeutic communication.Hence,further studies are needed to improve effective communication skills among pediatric nurses and their patients to enhance health care for children.

Caretaker-Adolescent Communication on Sexuality and Reproductive Health: My Perceptions Matter;A Qualitative Study on Adolescents’ Perspectives in Unguja-Zanzibar

This study was conducted to explore the perceptions of adolescents on caretaker-adolescent communication on sexuality. Using an Information-Motivation-Behavioural Skills model, this article highlights areas to emphasise when planning strategies to improve caretaker-adolescent communication on sexuality. Twelve focus group discussions were held with adolescents aged between 15 and 19 years, and data were analysed using content analysis. The participants found it important for caretakers to communicate with adolescents about sexuality to avoid sexual and related health risks. Caretakers were the most preferred communicators, by adolescents, on sexuality matters. It became apparent that information about the use of condoms was the most unpopular topic during the discussions, while information about the use of contraceptives seemed to be more interesting to the majority of the participants. From the adolescents’ point of view, the barriers to communication about sexuality on the caretakers’ side, include, the belief that such information might encourage promiscuity;some caretakers do not find it easy to discuss matters related to sexuality with their children;and others feel that some adolescents know more about sexuality than themselves. On the other hand, barriers on adolescents’ side include, “fear” of the caretakers, some of whom seem harsh, unfriendly, and sometimes unapproachable. Following the findings, it is being suggested that intervention strategies that would help to alleviate communication barriers would consequently facilitate caretaker-adolescent discussions about sexuality and reproductive health.

Physical （Bodily） Contact Among Parents and Children in the Context of Family Upbringing. Religious Education Approach--Case Study

Physical （bodily） contact among children and parents every day varies and its effect relates to the all-round personality development of the child. The purpose of this study is to present the attitudes and opinions of sixth-grade elementary students with regard to how parents interact with them physically as well as how the children would like the corresponding interaction with their parents to develop. The methodology was based on a case study. Data collection was conducted via a questionnaire with closed questions, which was distributed in person to sixth-grade students at two primary schools in the prefecture of Thessaloniki. Some results of the study indicate that more often children positively receive the ways in which their parents interact with them physically and desire physical contact with their parents even at this age. The involvement of parents and children in the sacramental life of the church seems to have a positive effect on physical contact among them. Gradually, however, children distance themselves from their parents as they enter puberty and seek physical contact with their parents selectively and only on special occasions such as their birthdays.

Focuses and trends of the studies on pediatric palliative care:A bibliometric analysis from 2004 to 2018

Objectives:To investigate the focuses and trends of the studies on pediatric palliative care(PPC)and provide directions for future research.Methods:Relevant papers about PPC published from 2004 to 2018 were analyzed using bibliometric analysis methods,including co-word analysis,biclustering analysis,and strategic diagram analysis.The included papers were divided into three groups based on the publication time,including 2004-2008,2009-2013,and 2014-2018.Results:A total of 1132 papers were published between 2004 and 2018,and there were 293 papers published between 2004 and 2008,396 between 2009 and 2013,and 443 between 2014 and 2018.There were 42 high-frequency MeSH terms/MeSH subheadings in papers published between 2004 and 2018,including 12 between 2004 and 2008,13 between 2009 and 2013,and 17 between 2014 and 2018.Conclusion:Studies on PPC were making progress,with the increasing number,expanding scope,and uneven global distribution.Integration palliative care into pediatrics,cancer treatments in pediatric oncology,education methods on PPC,and establishment of professional teams were the major themes during 2004e2008,then the themes changed into establishing interventions to enhance the quality of life of the patients and parents,building professional-family relationship,and investigating attitude of health personnel in PPC during 2009-2013 and subsequently turned into communication skills,end-oflife decision making,and guidelines making on PPC during 2014-2018.Underdeveloped and protential themes including effective approaches to deal with the ethical dilemmas,training programs on communication skills,family support and guideline making are worth studying in the future.

“They Will Wonder What Kind of a Girl I Am”: Adolescent Perceptions towards Contraceptive Use in Nairobi

As in other developing countries, contraceptive use among adolescents is low and only one in twenty adolescents is reported to use contraceptives inKenya. Pregnancies early in life expose adolescents to health complications. Establishing perceptions that affect contraception and factors that influence those perceptions is important in developing appropriate programs and policies to increase contraceptive use prevalence among adolescents. We used primary data from a household survey using a systematic random sampling in eight administrative divisions inNairobiCountyin 2010. The study utilized information collected using structured interviews, focus group discussions (FGDs) and in-depth interviews (IDIs). The findings revealed that perceptions on parental approval, adolescent approval, ability to get contraceptives for self, knowledge of how to use contraceptives and sexual partner communication had significant effect on contraception. The narratives showed that parents, teachers and service providers had negative perceptions and discouraged contraception among adolescents thereby influencing use. Parents and teachers had inadequate knowledge and skills to communicate sexuality messages creating potential environment likely to have indirect negative influence on adolescents’ perceptions on contraception.

非谓语动词的五个常考易混结构

考点1.习惯做某事⑴be/get used to doing sth.习惯做某事⑵used to do sth.过去常常做某事⑶be used to do sth.被用来做某事（2011广东卷写作）As a child,he never left his parents,so he didn’t get used to dealing with everything in school indepen-dently．

Unit 4 Why don’t you talk to your parents?

重点词汇1.allow v.允许;准许My parents don’t allow me to stay up late.我父母不允许我熬夜。拓展(1)allow sb to do sth允许某人做某事(2)be allowed to do sth被允许做某事Mr Smith allows Mike to drive there.史密斯先生允许迈克开车去那里。He should be allowed to have a break.应该允许他休息一下。2.deal n.协议;交易Listen.This is the deal.听着,下面是我们达成的协议。It’s a deal!就这么办吧!

对传染病住院患儿家长对临床护理告知认知现状的调查

目的调查传染病住院患儿家长对临床护理告知工作的认知状况，了解家长对护理告知的潜在需求，探讨改善护理告知的方式及方法。方法采用自行设计的传染病住院患儿家长对临床护理告知认知调查表对2011年5—8月儿科病房住院的110名患儿家长进行调查，采用卡方检验对调查结果进行分析。结果不同学历、不同地区和不同工作的患儿家长对告知权利和义务知晓率不同，差异有统计学意义（X2分别为16．587，10．261，8．196；P〈0．05），其中学历越高，知晓率越高；城市家长知晓率最高为96．4％，农村家长知晓率最低为67．6％；在职患儿家长知晓率较高为95．0％，农民家长知晓率最低为71．1％；不同年龄段的患儿家长对护士告知认知情况不同，差异有统计学意义（x2=7．728，P〈0．05）；在告知率方面，责任护士〉护士长〉值班护士。家长对人住院后环境介绍、主管医生、护士及病房的规章制度的需求最为迫切。结论在告知过程中应重视传染病消毒防护措施的知识讲解和培训，根据不同患儿家长文化教育水平及年龄采取有针对性的告知方式，护士告知时机可选择在病情发生变化时，利于家长理解，同时护士应该注意提高告知技巧。

What makes a cry a cry？ A review of infant distress vocalizations

In contrast to the cries of human infants, sounds made by non-human infants in different stressful behavioral contexts （hunger or physical discomfort, isolation, capture by humans or predators） are usually treated as distinct types of vocalizations. However, if distress vocalizations produced by different species and in different contexts share a common motivational state and associated neurochemical pathways, we can expect them to share a common acoustic structure and adaptive function, showing only limited variation that corresponds to the infant＇s level of arousal. Based on this premise, we review the acoustic structure and adaptive function of two types of distress calls, those given when infants were isolated from their mothers （isolation caUs） or captured by humans （capture calls）. We conducted a within-context comparison examining the two call types across a diverse se- lection of mammalian species and other vertebrate groups, followed by a comparison of how acoustic structure and function dif- fers between these contexts. In addition, we assessed acoustic traits that are critical to the response of caregivers. Across verte- brate species, distress vocalizations produced in these two behavioral contexts tend to be tonal with a simple chevron, flat or de- scending pattern of frequency modulation. Reports that both isolation and capture calls of vertebrate infants serve to attract care- givers are universal, and the fundamental frequency of infant vocalizations is often critical to this response. The results of our re- view are consistent with the hypothesis that differences in the acoustic structure of isolation and capture distress vocalizations re- flect differences in arousal, and not discrete functions. The similarity in acoustic structure and caregiver response observed across vertebrates adds support to the hypothesis that the production and processing of distress vocalizations are part of a highly-conserved system of social vocal behaviour in vertebrates. Bioacoustic research may move forward by recognizing the commonality among different forms of infant solicitations that attract caregivers, and the commonality of these solicitations with vocalizations that attract conspecifics in still other behavioral contexts [Current Zoology 58 （5）： 698-726, 2012].